PEDRO VINICIUS STAZIAKI M.D.
NPI 1912358318
Radiology - Diagnostic Radiology in Burlington, VT

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2022, Mar 17, 2018, Nov 12, 2017 and 1 more (4 updates tracked since 2016).

About Pedro Vinicius Staziaki M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDRO VINICIUS STAZIAKI M.D. (NPI 1912358318) is an individual diagnostic radiology provider in Burlington, Vermont, licensed in Vermont (042-0015695) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912358318
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePEDRO VINICIUS STAZIAKICredential: M.D.
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1912358318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VT · 042-0015695 Licensed in MA · 268556
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedInternal MedicineTaxonomy 207R00000X · License 268556 (MA)
111 COLCHESTER AVE, Burlington, VT 05401

Secondary Practice Locations 2

Location 1115 Lincoln StFramingham, MA 01702-6358 · Phone (508) 383-1555
Location 2820 Harrison Ave Bldg 3Boston, MA 02118-2905 · Phone (617) 414-5135

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pedro Vinicius Staziaki M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577836410
PECOS Enrollment IDI20220802001013, I20240517002118
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
1,025 services938 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
889 services712 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
398 services361 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
382 services365 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
269 services265 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
140 services140 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
111 COLCHESTER AVE, PATRICK 109 MCHV
BURLINGTON, VT 05401
Pharmacist
111 COLCHESTER AVE
BURLINGTON, VT 05401
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Physician Assistant
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE NEUROSURGERY
BURLINGTON, VT 05401
Dietitian, Registered
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE
BURLINGTON, VT 05401
Anesthesiology
111 COLCHESTER AVE
BURLINGTON, VT 05401
Physician Assistant
111 COLCHESTER AVE, DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR
BURLINGTON, VT 05401
Nurse Anesthetist, Certified Registered
111 COLCHESTER AVE, FAHC ANESTHESIA
BURLINGTON, VT 05401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Staziaki's NPI number?

The NPI number for Pedro Staziaki is 1912358318. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Pedro Staziaki located?

Pedro Staziaki practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Pedro Staziaki's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Pedro Staziaki enrolled in Medicare?

Yes. Pedro Staziaki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pedro Staziaki accept?

Health plans from Anthem Blue Cross and Blue Shield list Pedro Staziaki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pedro Staziaki affiliated with any hospitals?

According to CMS data, Pedro Staziaki is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital, The University Of Vermont Health Network-Alice Hy, Univ. Of Vermont - Fletcher Allen Health Care and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Pedro Staziaki was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.